How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $12.59 Median $17.78 Typical High $26.92 | Facility | None | $12.59 | $17.78 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $17.38 | Professional | None | $12.30 | $12.88 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $67.61 | Facility | None | $14.45 | $14.45 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $20.42 Typical High $37.15 | Professional | None | $7.24 | $20.42 | $37.15 |
BCBS Kansas City Setting Facility Modifier None Typical Low $22.39 Median $28.84 Typical High $54.95 | Facility | None | $22.39 | $28.84 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $32.36 Typical High $83.18 | Facility | None | $19.05 | $32.36 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.60 Typical High $30.90 | Professional | None | $8.51 | $16.60 | $30.90 |
Medica Setting Facility Modifier None Typical Low $13.18 Median $25.12 Typical High $69.18 | Facility | None | $13.18 | $25.12 | $69.18 |
Medica Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $18.20 | Professional | None | $6.61 | $10.47 | $18.20 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
United Setting Professional Modifier None Typical Low $6.17 Median $10.72 Typical High $19.50 | Professional | None | $6.17 | $10.72 | $19.50 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.31 Typical High $8.32 | Professional | 52 · Reduced service | $6.17 | $6.31 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.39 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.39 |
Where Missouri sits
The same service costs 8.1 times more in Vermont than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 14th of 51
$17.38
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.